Provider Demographics
NPI:1407008188
Name:NARCISSE, TAMMY NELL (RRT)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:NELL
Last Name:NARCISSE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3480 FANNIN ST STE F
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-3804
Mailing Address - Country:US
Mailing Address - Phone:409-454-0929
Mailing Address - Fax:409-833-5200
Practice Address - Street 1:3480 FANNIN ST STE F
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3804
Practice Address - Country:US
Practice Address - Phone:409-454-0929
Practice Address - Fax:409-833-5200
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2009-09-29
Deactivation Date:2009-03-02
Deactivation Code:
Reactivation Date:2009-09-29
Provider Licenses
StateLicense IDTaxonomies
TX639522279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics